Nsg Diagnosis in CPNE study guide

DoubleblessedRN, ADN, RN, EMT-B, EMT-P · Jun 19, 2008

Ok, I have a Kardex that lists one my AOC's as "Resp. Mgmt. ISX10." Can I list ineffective airway clearance even though nothing else is listed about any airway problems?

Yes, you can. Lunah is right. During the Planning Phase you only have to state "Ineffective Airway Clearance" (if that is the dx you are choosing) But have a backup plan if there is nothing to support it. During the Caring portion while ID-ing the patient and explaining the purpose of the interaction, you could ask the patient about pain or discomfort and ask if s/he is coughing anything up. If so, then there is your supporting evidence that the problem exists. If not, then use your backup plan.

toby4 · Aug 19, 2008

Ivan3, I will be getting ready to take CPNE as well, if Im transulating what you are saying correctly. the instructors give you pts., they let you know what part of the care they want you to manage on the pt., (even though the pt. might have many different conditions), you decide what interventions to do based upon what is included under the critical elements.

ivanh3 · Aug 19, 2008

Toby4, correct. Bottom line: make sure that all of the interventions that you list on your care plans are items on your critical elements list. In other words by doing all of your critical elements you will at some point do the interventions you listed on your care plan. Don't ADD any work, it will increase the opportunity for failure.

toby4 · Aug 20, 2008

Thank you Ivanh3, good info. I was just wondering how everything worked, so basically if you use the care that the instructor assigns (critical elements) to you as interventions and a basis to build your diagnosis you have less chance in failing. Hearing critical elements, mnuemonics etc.. was making me all nervous about this whole CPNE thingy LOL wasnt sure what they will be expected..I guess just as a student just know all the techniques of all the diff. areas of management and the interventions is the way to go ....I do know there is alot more to it but thats a big help in way of care planning and keeping on track....Do they give these Managements in CPNE study guide...I havent purchased it just yet....Thanks for all help! :)

ivanh3 · Aug 20, 2008

Toby4,

The study guide I used provided all of the areas of care (AOC) and each critical element for the AOC. Now here's the thing: some of these critical elements have steps of their own that are not defined or listed in the study guide. The expectation is that you either know those steps or will learn those steps. An example of this would be medication administration. There are plenty of steps that go with med administration that aren't listed in the study guide. Also when you get your study guide you will see that many of the AOCs begin with a catch all phrase similar to "Complies with established guidelines..." or something to that effect. I have a guide that I wrote it is available on this site by going to the link below. Some things have changed since I took the CPNE, but the approach is still sound.

Ivan

2brn09 · Mar 22, 2009

Ivanh3, when you receive the study guide for the CPNE will it be different depending on your patient that you've been assigned. For instance, if we both were taking the cpne on Saturday would the examiner know what type of patient we would get. Are all the study guides the same is whaat i'm asking?

Editorial Team / Moderator · Mar 22, 2009

2brn09, are you asking about the Kardex? The study guide is a 500+ page document that covers all areas of the CPNE process and testing. The Kardex is what you get that details your assigned areas of care for each patient at the CPNE.

ivanh3 · Mar 22, 2009

Ivanh3, when you receive the study guide for the CPNE will it be different depending on your patient that you've been assigned. For instance, if we both were taking the cpne on Saturday would the examiner know what type of patient we would get. Are all the study guides the same is whaat i'm asking?

Not entirely sure what your asking, but here goes:

The study guide put out by Excelsior is the same for everyone. It is a large document that they periodically update. It has all of the standards that the examiners will grade you by. Not sure of the exact number but this guide has what are called areas of care (AOC). These are various tasks like medication administration, pain management, etc. Of these 20 to 30 AOCs you will be assigned a handful for each patient. You will by no means use all of the AOCs during the entire CPNE, but you will not know which ones you will be assigned so you have to know them all backwards and forwards.

When you show up for the CPNE you will get your first patient assignment after the skills testing. Obviously all patients are different so all assignments/AOCs/orders are different and will vary from one CPNE candidate to the next. You will be handed a document that will have all of your AOCs/tasks that you will need to accomplish for your patient.

There are also other "study guides" that are unofficial like the one Lisa and I did that you can find here (look under the sticky for Distance Learning, or follow the link in my signature). There are others. These are third party guides that are in no way connected or endorsed by EC.

Hope that helps

Ivan

Ps if any of this does not apply anymore, somebody PM me and I will update this post.

2brn09 · Mar 25, 2009

Thanks, you answered my question. The answer is that I would get a large document with AOC's.

bjbabs24 · Mar 25, 2009

Once you get close to finishing your last concepts test call or email them and ask them to mail you the cd-rom which will be the entire study guide. The center of the study guide goes over all the areas of care that you are expected to be able to do. Once you get to your CPNE then the CE will give you a kardex for the pcs portion of the exam and you will get 2 required areas(fluid management, vitals), all over riding areas of care(caring, safety, mobility etc...) and then an additional 3-4 selected areas of care which can be assessments such as resp. assessments etc... and/or management areas.

Hope that helps explain it.